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Evaluating the alliance in videolink teletherapy
G J Ghosh1, P M McLaren, J P Watson
1Department of Psychiatry, United Medical and Dental Schools, Guy's Hospital, London, UK. 101511.3427@compuserve.com
Journal of Telemedicine and Telecare
|January 1, 1997
Summary
Videoconferencing in psychotherapy did not impair the working alliance (WA). A single case study found similar WA scores compared to face-to-face therapy, suggesting teletherapy is a viable treatment option.
Area of Science:
- Psychology
- Psychotherapy Research
- Telehealth
Background:
- Videoconferencing in psychotherapy is under-researched.
- Potential impact of reduced interactional cues on the therapeutic alliance is unknown.
- Client and therapist perceptions of teletherapy warrant investigation.
Purpose of the Study:
- To explore the effect of videoconferencing on the working alliance (WA) in psychotherapy.
- To assess the development of the WA in a case of teletherapy for a female-male transsexual client.
- To compare videoconferencing WA development with face-to-face therapy outcomes.
Main Methods:
- A single case study design was employed.
- The Working Alliance Inventory (WAI) measured client and therapist perceptions over 10 sessions.
- Videoconferencing therapy was compared to a quasi-control group receiving face-to-face therapy.
Main Results:
- Working Alliance Inventory (WAI) scores were comparable between videoconferencing and face-to-face therapy.
- Client-rated bond subscale scores were lower in the videoconferencing group.
- Therapist and client reported positive impressions of teletherapy.
Conclusions:
- Videoconferencing did not hinder the development of an adequate working alliance.
- Client personality factors may influence specific alliance subscale scores.
- Telepsychotherapy appears to support successful therapeutic outcomes.